Palpitations

Question 1

Palpitations Definition

Answer 1

CAM: unduly rapid action of HT felt by PT and accompanied by nervousness

DENG: throbbing of HT, flusteredness of the HT or stirring of HT due to fright

notice HT + it doesnt feel right
Types:
Fright: entry level palp; HT skipped a beat
Fearful: feel HT/palp down to umbilicous
Stirring: see on outside chest

Question 2

Palpations Etiology

Answer 2

Qi, yin and Yang can all be deficient
Def Ht Qi= bld stasis
wate qi rising
evil qi disturbing HT

Question 3

Excess Palpitation Patterns

Answer 3

excesses but have yang deficiency signs

Phlegm Rhuem collecting
Water Qi Intimidating Heat
Heart Impediment
Heart Vessel obstruction

Question 4

Phlegm -Rheum collecting

Answer 4

pathogenic, phlegmy fluids collecting, shen cloudiness, dizziness, no appetite. chest feels full, vomiting/spitting of a lot of clear fluids (classic), boborygmous, sloppy stools. fear of cold on back, phlegm obstructing energy to chest
CAM: phlegm heat harassing mind= mania wc can cause palps

Question 5

Water-qi intimidating the HT

Answer 5

see in skilled nursing facilities
pathogenic fluids failing to transform into blood, jin, yin.
Lodges in chest/diaphragm. Interferes w/ clear shing of HT yang
hasty breathing, inability to lie flat, puffy, swelling, yang def Sxs: bright white face, floating edema, inhibited urine-looks like propping Rheum, green/blue or purple complexion and lips

Question 5

Heart Impediment

Answer 5

Might be HT vessel obstruction
Pain less likely to be radiating than vessel obstruction
stoppage in vessel d/t yang failure to move blood, Worse at night or with exertion, HX of enduring w-c damp or w-h, joint pain, panting, SOB, Depression, spasmodic, maybe accumulation of fluids

Question 6

Heart Vessel obstruction

Answer 6

See chest pain

Question 7

Vacuity Palpitation Patterns

Answer 7

HT and GB Timidity
HT Qi Xu
Heart Yang XU
Heart Yang Vacuity Depression
Heart Blood Xu
Heart Yin XU

Question 8

HT and GB Xu Timidity

Answer 8

Person startles easily. Small GB= little courage (GB timidity
=indecisiveness) frequent dreaming/easy waking, no appetite. More common in Women and Children
CAM= disturbance of mind in timid people

Question 9

Heart Qi XU

Answer 9

Worse w/ movmnt, SOB, pale face, dizziness, fatigue, Laziness in speaking (w/o HT signs looks like Qi def)
T: pale fat
P: vacuous

Question 10

Heart Yang Xu

Answer 10

palps more severe w/ mvmnt +
cold signs, fluids not being pulled around- cld see congestion as result, chest oppression or pain
T: pale, fat, tender purple (w/ blood stasis ?)

Question 11

Heart Yang Vacuity Desertion

Answer 11

terminal stage, profuse, drippy sweat, limb reversal, SOB, cyanotic, expiring pulse, Clouded spirit: consciousness not home
if sudden, is also HT Qi Def

Question 12

Heart Blood Xu

Answer 12

palpitations, Shen lacks nourishment, insomnia, forgetfulness, dreaming, pale face, no luster, pale lips, nails
T: pale, thin, tender, thin coat, may be dry
P: fine, weak (HT d/n have enough)

Question 13

heart Yin Xu

Answer 13

Next step after Heart Blood Xu= 5 palm heat, yin def heat signs= difference from blood Xu
Thin rapid

Question 14

CAM on HT palp patterns

Answer 14

Hyperactivity of Fire d/t yin def= HT/KI not communicating

Insuf of qi/blood= student pattern= dual vacuity of HT/SP=HT Bld Def/SP Qi Def= SP not transforming food
->bld def-> HT Bld Def

HT/GB def timidity= disturbance of mind in timid people

Question 15

Types of Palpitations

Answer 15

Fright= occur when there is fright

Fearful throbbing= severe throbbing from chest to umbilicous

Stirring= relatively severe stirring of HT viscera felt not only by PT but can be investigated and felt-maybe even seen